Will Delta Dental Pay for Crowns

Delta Dental is one of the leading dental insurance providers in the United States, covering a wide range of dental procedures. If you're considering getting a dental crown, you may be wondering whether Delta Dental will cover the cost. In this article, we will explore the coverage provided by Delta Dental for crowns and discuss various aspects related to the procedure.

1. Understanding Dental Crowns

Dental crowns are a common dental restoration procedure that involves placing a cap-like structure over a damaged or decayed tooth. They serve to protect and strengthen the tooth, restore its shape and size, and improve its overall appearance. Crowns are typically made from materials such as porcelain, metal, or a combination of both.

Before delving into Delta Dental's coverage for crowns, it's important to understand the different types of crowns available and their costs. The price of a dental crown can vary based on factors such as the material used, the complexity of the procedure, and the location of the dental office.

2. Delta Dental Coverage for Crowns

Delta Dental typically offers coverage for dental crowns, but the extent of coverage can vary depending on the specific plan you have. It is essential to review your individual plan details or contact Delta Dental directly to understand your coverage accurately. Generally, Delta Dental covers a significant portion of the cost of crowns, with members responsible for a portion of the expenses.

Keep in mind that Delta Dental may have specific guidelines and criteria for coverage, such as the necessity of the crown due to tooth decay, damage, or structural issues. Cosmetic crowns may not be covered or may have limited coverage. It is always advisable to check with your dental provider and insurance company before proceeding with the procedure to avoid any unexpected costs.

3. Average Cost of Dental Crowns

The cost of dental crowns can vary based on several factors, as mentioned earlier. On average, the cost of a single dental crown can range from $800 to $1,500. However, it is important to note that this is an approximate estimate, and the actual cost may differ based on your specific circumstances and location. Factors such as the material used and the complexity of the procedure can significantly impact the final cost.

Understanding the average cost can give you a general idea, but it's always best to consult with your dentist and insurance provider to get an accurate estimate based on your individual needs.

4. Exploring Alternatives to Crowns

In some cases, crowns may not be the only option for restoring a damaged tooth. Depending on the severity of the issue, alternative options such as dental bonding, veneers, or inlays/onlays may be more suitable and cost-effective. These alternatives can achieve similar results to crowns while requiring less tooth preparation and potentially lower costs.

Discussing your specific situation with your dentist can help determine the most appropriate treatment plan and explore alternatives if crowns are not the ideal solution for you.

5. Factors to Consider Before Getting a Crown

Before proceeding with a dental crown, there are a few essential factors to consider:

1. Dental Insurance Coverage: Review your dental insurance policy to understand the coverage for crowns and any associated costs you may need to bear.

2. Overall Oral Health: Assess the overall health of your teeth and gums to ensure that a crown is the appropriate treatment option.

3. Cost and Financing: Consider the cost of the procedure, the potential need for additional treatments, and explore financing options if needed.

4. Longevity and Durability: Discuss with your dentist the expected lifespan of the crown and any maintenance required in the future.

6. FAQs about Dental Crowns and Delta Dental Coverage

Q: How long do dental crowns typically last?

A: Dental crowns can last anywhere from 5 to 15 years or even longer with proper care and maintenance.

Q: Does Delta Dental cover the cost of replacing a crown?

A: Delta Dental may cover the cost of replacing a crown if it meets specific criteria, such as being structurally faulty or damaged due to tooth decay.

Q: Can I choose any dentist for my crown procedure with Delta Dental coverage?

A: Delta Dental usually allows you to choose any licensed dentist, but the out-of-pocket costs may vary depending on whether the dentist is in or out of network.